Crockett-Maillet, Ginny

Crockett-Maillet, Ginny is an individual health care provider with primary practice located at 195 Fore River Pkwy Suite 360, Portland ME 04102-2780. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Crockett-Maillet, Ginny can be contacted via phone (207) 553-6868.

Contact Information

Primary practice address
195 Fore River Pkwy Suite 360 Portland ME 04102-2780
Phone: (207) 553-6868
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 081878 Maine

Profile Details

NPI number 1669879680
LBN Legal business name Crockett-Maillet, Ginny
Credentials Women's Health Nurse Practitioner (WHNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2014
Last updated Nov 20th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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